Light localization with low-contrast targets in a patient implanted with a suprachoroidal–transretinal stimulation retinal prosthesis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-04-20

AUTHORS

Takao Endo, Takashi Fujikado, Masakazu Hirota, Hiroyuki Kanda, Takeshi Morimoto, Kohji Nishida

ABSTRACT

PurposeTo evaluate the improvement in targeted reaching movements toward targets of various contrasts in a patient implanted with a suprachoroidal–transretinal stimulation (STS) retinal prosthesis.MethodsAn STS retinal prosthesis was implanted in the right eye of a 42-year-old man with advanced Stargardt disease (visual acuity: right eye, light perception; left eye, hand motion). In localization tests during the 1-year follow-up period, the patient attempted to touch the center of a white square target (visual angle, 10°; contrast, 96, 85, or 74%) displayed at a random position on a monitor. The distance between the touched point and the center of the target (the absolute deviation) was averaged over 20 trials with the STS system on or off.ResultsWith the left eye occluded, the absolute deviation was not consistently lower with the system on than off for high-contrast (96%) targets, but was consistently lower with the system on for low-contrast (74%) targets. With both eyes open, the absolute deviation was consistently lower with the system on than off for 85%-contrast targets. With the system on and 96%-contrast targets, we detected a shorter response time while covering the right eye, which was being implanted with the STS, compared to covering the left eye (2.41 ± 2.52 vs 8.45 ± 3.78 s, p < 0.01).ConclusionsPerformance of a reaching movement improved in a patient with an STS retinal prosthesis implanted in an eye with residual natural vision. Patients with a retinal prosthesis may be able to improve their visual performance by using both artificial vision and their residual natural vision.Clinical trial registrationBeginning date of the trial: Feb. 20, 2014Date of registration: Jan. 4, 2014Trial registration number: UMIN000012754Registration site: UMIN Clinical Trials Registry (UMIN-CTR)http://www.umin.ac.jp/ctr/index.htm More... »

PAGES

1723-1729

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00417-018-3982-0

DOI

http://dx.doi.org/10.1007/s00417-018-3982-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1103484752

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29679170


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